Pharmacology Assessment 2, ATI Capstone Pharmacology
assessment 1, ATI Capstone Pharmacology Assessment 2
a nurse is providing teaching for a pt with a prescription for oral
metronidazole, what is the priority teaching point? - CORRECT
ANSWER you should report a rash to your provider
(fatal disorder Stevens-Johnson syndrome)
a nurse is providing discharge instructions to a client who has a new
prescription for codeine for cough suppression, what is the priority
instruction? - CORRECT ANSWER move slowly when standing from a
lying down position
(r/f orthostatic hypotension)
a nurse is reviewing the medical record of a client who received his
medications 1 hour ago, the pt reports chest pain, this can be an AE of
what med? - CORRECT ANSWER albuterol
(beta2agonist, controls bronchospasm for asthma--can cause tremors,
chest pain, tachycardia, dysrhythmias)
a nurse is teaching a pt who has a new prescription for brimonidine to
treat open-angle glaucoma, what indicates an understanding of the
instructions? - CORRECT ANSWER i can expect to feel some
irritation when i put these drops in my eyes
a nurse is caring for a female client who has osteoporosis and a new
prescription for raloxifene, what should the nurse assess prior to
initiating therapy? - CORRECT ANSWER pregnancy status
(risk category X)
,a nurse is teaching a pt to use TD nitroglycerin patches to treat angina
pectoris, what instructions should she include? - CORRECT ANSWER
apply a new patch every morning
(effects begin 30-60 min after application and last 14 hours)
a nurse is providing teaching to a pt who has a new prescription for
allopurinol to treat gout, what should the nurse include? - CORRECT
ANSWER increase your fluid intake
a nurse is providing teaching to a client who has a neuropathic pain
and a new prescription for amitriptyline once per day, what should the
nurse include? - CORRECT ANSWER increase fluids while on this med
(urine turns blue/green, sedation is an AE)
a nurse is caring for a client who has a prescription for vancomycin 1g
IV intermittent infusion over 30min every 12 hours, what should the
nurse take? - CORRECT ANSWER contact the provider for
prescription clarification
(administer over 60min or more to reduce risk of infusion reaction--
hypotension, flushing)
a nurse is providing teaching to a male client who has a new
prescription for folic acid, the client tells the nurse he heard that the
medication is prescribed for women during pregnancy, what
statements should the nurse make? - CORRECT ANSWER folic acid is
important for the building of blood cells for adults and children
(tx megaloblastic and macrocytic anemias)
a nurse is caring for a client who has HIV-1 and is starting therapy
with ritonavir and zidovudine. the client asks why she has to take both
medications, which explanation should the nurse provide? - CORRECT
ANSWER taking the 2 meds together keeps you from becoming
resistant to either of them
,a nurse in the PACU is caring for a client who has received GA and has
a manifestations of malignant hyperthermia, the nurse should expect
to administer which of the following meds? - CORRECT ANSWER
dantrolene
a nurse is providing teaching to a client who has a new prescription
for oxybutynin, what statements by the client indicates an
understanding of the teaching? - CORRECT ANSWER i need to avoid
jogging on warm days
(suppression of sweating by the anticholinergic effects by oxybutynin
can result in hyperthermia)
a nurse is reviewing the lab findings for a client who is taking
zidovudine to treat HIV, which should the nurse report to the provider -
CORRECT ANSWER neutrophil count 650/mm3
(normal is 1500-8000)
a nurse is assessing a client who is receiving gemfibrozil, the nurse
should identify what finding as an AE of this med? - CORRECT
ANSWER muscle tenderness
(--> myopathy, rhabdomyolysis)
a nurse is caring for a pt with T2D and began therapy with metformin 2
days ago
the client reports experiencing n/d, what should the nurse say -
CORRECT ANSWER your symptoms are common AE of metformin and
should decrease with time
(GI manifestations at onset of therapy)
a nurse is caring for 4 clients who have peptic ulcer disease, the nurse
should recognize that misoprostol is contraindicated for which of the
following clients? - CORRECT ANSWER a client who might be
pregnant
, (category X, can cause spontaneous abortion)
a nurse is in the ICU and caring for a pt with sudden onset of sustained
SVT, what med should the nurse prepare? - CORRECT ANSWER
adenosine
(decreases electrical conduction through the AV node)
a nurse is caring for a client who has varicella zoster, what med
should the nurse administer - CORRECT ANSWER acyclovir
a nurse is caring for a client who has recurrent lower UTIs which of
the following meds should the nurse expect to administer? - CORRECT
ANSWER nitrofuratoin
ab for lower recurrent UTIs
a nurse is teaching a pt who is starting subq leuprolide for treatment
of prostate cancer. what info should the nurse include? - CORRECT
ANSWER increase calcium intake
(can cause bone loss)
a nurse is providing discharge teaching to a pt who is starting to use
an albuterol inhaler, what statement indicates understanding? -
CORRECT ANSWER i should take this medication 15 minutes before
exercising
a nurse is teaching a pt who is taking methyldopa for the tx of htn,
what info should the nurse include? - CORRECT ANSWER the med
can cause dizziness
a nurse is administering bumetanide to a pt who has ascites, the nurse
should monitor for what as an expected therapeutic effect of this med
- CORRECT ANSWER increased urinary output
(loop diuretic)